Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Van Dyke

Individual provider Physician Assistant · NPI 1811442205

Kelly Van Dyke is a Physician Assistant in Roseville, Minnesota. Graduated from University of Wisconsin School of Medicine in 2016, 10 years ago. Practices with Minnesota Epilepsy Group PA, a 25-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Trained at
University of Wisconsin School of Medicine
Licensed in
MN
In the registry since
2016

Practice location Address checks out

2720 Fairview Ave N Ste 100
Roseville, MN 55113-1306
Phone: (651) 241-5290
Fax: (651) 241-5248
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2545 (MN)

Record details

NPI number1811442205
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2016
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Minnesota Epilepsy Group Pa — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Roseville